Pharmacist, Population Health at Navitus in Oklahoma City, Oklahoma

Pharmacist, Population HealthNavitus Health Solutions is seeking a Pharmacist, Population Health to join our teamThe Pharmacist, Population Health will be responsible to perform duties related to the development, implementation, outcomes reporting, and ongoing administration and support of Navitus Clinical Programs including Drug Utilization Review (i.e., RDUR, CDUR), Health Management (i.e., clinical edits, Asthma Management, COPD Management, Pharmacogenomics, Pharmacoadherence, Prescriber Insights, MTM), and other strategic clinical initiatives (i.e., Residency Program) across all lines of business. The Pharmacist, Population Health will also provide support to other clinical areas including Account Management, Lumicera, Drug Information and Pipeline, and the Pharmacy and Therapeutics (P&T) Committee.
Additionally, the Pharmacist, Population Health is responsible for reviewing, evaluating, and sharing the health outcomes and utilization data for program management and development. The Pharmacist, Population Health will develop and maintain appropriate clinical, evidence-based documentation that supports PBM programs. The primary functions involve ensuring that Navitus can provide clinically sound programs (including products, edits, and reports) in the most cost-effective manner and utilize technology to implement clinical programs. This utilization of technology frequently involves translation between technical guidelines and clinical program business requirements as well as program testing.
ResponsibilitiesHow do I make an impact on my team?Lead the development of new clinical programs and manage the maintenance of existing programsFacilitate communication and education to clients, members, providers, and internal staff regarding clinical programs and program outcomesProvide clinical outreach to members, prescribers, and pharmacy providers to enhance care coordinationProvide support to operational departments on the implementation of various PBM programs and daily functioning in support of member/patient quality of care. This involves frequent interdepartmental collaboration and guidance to develop, implement, and maintain all clinical programsHave strong knowledge of various standards, regulations, and guidance including Medicare Part D, PQA, and HEDIS measures and concisely communicate that information to stakeholders and clientsAssist Residency Program Director (RPD) with the PGY1 Managed Care Residency ProgramProvide leadership, training, supervision, and strategic direction to Product ManagersProvide expertise through active involvement with the Specialty Clinical GroupParticipate in the Coverage Determination (Certification, Prior Authorization, Medical Exception, Exception to Coverage, etc.) process when neededProvide clinical expertise related to formulary decisions made by the P&T Committee and Formulary Advisory CommitteeOther duties as assignedQualificationsWhat our team expects from you? Bachelor's degree in Pharmacy or PharmD required.
Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months.2+ years of clinical experience, or clinical or managed care pharmacy practice residency and 1-year clinical experience.
Knowledge of PBM industry, formulary management, pharmacy claims and managed care principles and practices desired.
Proficiency in drug literature and clinical trial evaluation, including proficiency with electronic databases (e.g., Micromedex, Medline, Facts & Comparisons) preferred.
Proficiency in MS Word, Excel, PowerPoint including tables, charts and figures preferredParticipate in, adhere to, and support compliance program objectivesThe ability to consistently interact cooperatively and respectfully with other employeesWhat can you expect from Navitus?Top of the industry benefits for Health, Dental, and Vision insurance20 days paid time off4 weeks paid parental leave9 paid holidays401K company match of up to 5%
- No vesting requirementAdoption Assistance ProgramFlexible Spending AccountEducational Assistance Plan and Professional Membership assistanceReferral Bonus Program – up to $750Navitus Health Solutions is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by law. Equal employment opportunity, including veterans and individuals with disabilities.